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Marco Falcone, MD; Pietro Serra, MD; Giuseppe Licata, MD; Mario Venditti, MD; for the Italian Society of Internal Medicine (SIMI)

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We read with great interest the article by Carratalà and coworkers¹ describing the epidemiology, antibiotic therapy, and outcome of health care–associated pneumonia (HCAP). The authors concluded that HCAP should be regarded as a separate category of respiratory tract infection, with its peculiar epidemiologic and microbiological characteristics and outcomes.¹

These findings agree with an ongoing multicenter, prospective survey on patients with pneumonia hospitalized in internal medicine wards in Italy. This study, supported by the Italian Society of Internal Medicine (SIMI), involved medical wards of 49 Italian hospitals (both teaching and nonteaching hospitals). Participating centers recorded clinical and microbiological data of all patients with a definite diagnosis of pneumonia observed during an active 1-week surveillance performed from January 22 to January 29 and June 25 to July 2, 2007. A patient was . . . [Full Text of this Article]

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